950 NE 100 St (2)Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure herein
described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Florida. and all provisions of the Laws of the
State of Florida. all ordinances of Miami Shores Village and all rules and regulations of the Building Division of Miami Shores Village shall be complied with. whether
herein specified or not. A copy of approved plans and specifications must be kept at building during progress of the work.
Owner's Name and Address � C
Registered Architect andior Engineer
Name and address of licensed contractor
To be constructed of j4 -.e-t • c-g-1 y1 Kind of foundation
Remarks (Signed)
STATE OF FLORIDA
COUNTY OF DADE.
Council Approved
} SS.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
a
No.
Date
Location and legal description of lot to be built on: d q q
Lot N. i Block / Subdivision Th J ZJ'� v 11 �O v� 6.2
Street and Number where work is to be done AL - v
State work to be done and purpose of building Iby floors), state exterior colors (submit samples) 11MAIX
and for no other purpose.
New Building Remodeling Addition Repairs No. of Stories
1 �c� eo r . h1 .6 Roof Covering S�e�tYiGr / �
!
Estimated Total cost of improvements S \ V C] Amount of Permit S �'
Zone cubage required Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all plans and specifications for said building. All notices with reference to the building and its construction may be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligatons as an employer of Labor under the Florida Workmen's
Compensation Act, being Section 5966. Compiled General Laws of Florida, Permanent Supplement. and has complied with the provisions thereof. and will require similar
compliance from all contractors or sub - contractors employed by him in the work to be performed under t • pe 't: and will .ost or cause to be posted f. ' nspection
under this permit, as are licensed by Miami Shores Village.
on the site of the work such public notice or notices as are required by the Act. The undersigned agr / ploy . ly `cont cto , on wor to j.erformed
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Before me, the undersigned authority. a notary public. duly authorized to administer oaths and take acknowledgments. personally appeared
to me well known.
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true.
Permit No Date V 7 II Read. Sworn to and Subscribed before me.
Disapproved Date
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Date Disapproved Date
Notary Public. State of Florida
NOTE: A charge of $25.00 will be made for making corrections or changes to this application after approval has been obtained from the Planning Board.
A re- inspection fee of S25.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and,or workmanship.
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This property described as:
Lots 5, 6 and 7, Block 170,
SECTION 8 OF MIAMI SHORES,
according to the Plat
thereof, as recorded in
Plat Book 14, Page 33
of the Public Records of
Dade County, Florida.
Note: Underground encroachments and
utilities, if any, not located.
FLOOD ZONE: X
Certified To: First Financial Title Company of F
Ticor Title Insurance Company, Moody, and
Home Savings of America, F.A..
PROPERTY OF: Moody, Robert and Kin,
Not va:id unless errlbossed A BOUNDARY
with' Survyor' Seal.
SURVEY
I hereby certify that the survey repre-
sented hereon meets the minimum
technical standards set forth by the
Board of Land Surveyors pursuant to
•
Section 472.027, Fla. Statutes. There are
no encroachments, overlaps, easements
appearing on the Plat, other an a
shown hereto.. / 7/1 /&
950 N.
. 100th
LANNE
ENGINEERS - L.
Office address: 40;
Mailing address: